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214111 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 353824 Page 1 of 1 ' ONE CIVIC SQUARE U S FOODSERVICE, INC 0 CHECK AMOUNT: $935.99 CARMEL, INDIANA 46032 Po BOX 660088 INDIANAPOLIS IN 46266-0088 CHECK NUMBER: 214111 CHECK DATE: 10123/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 2097446 518 .35 FOOD & BEVERAGES 1095 4239040 2334083 417 . 64 FOOD & BEVERAGES ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO DATE NO. NUMBER LOC . REP. ORDERED 90569922 2334083 10/12/12 90569575 1054 0062 10/11/12 Route: 5291 / 10 ORDER NUMBER: 666513 8ill Ship Remit CARMEL CLAY PARKS&RECREAT CARMEL CLAY PARKS&RECREAT US Foods, Inc . To: 1411 E. i16TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 660089 4603P 46032 INDIANAPOLIS IN 317 843 3973 46266-0088 Att: DEPT # 00 eOO 428 2118 ihipFrm: 12301 CUMBERLAND RD FISHERS IN Shjp& 10/12/12 Page 02 of 02 7rtTrms: Spcial 'ytTrms: NET 30 DAYS Instr: Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended 'rdered Shipped Unit Number D Unit Price Price INVOICE SUMMARY FUEL SURCHARGE 6. 25 TOTAL WGT SHIPPED: 114. 08 PIECES ORDERED: 14 PIECES SHIPPED: 14 TTEMS SHIPPED: 13 PRODUCT TOTAL $ 41109 CHARGES 6.2S TAXABLE AMOUNT $ . 00 GEN SALES TAX This amount is an estimate at time of shipping prior to any adjustments made at delivery: 417, 64 Purchase Description Budge OCT Purchaser Date L OCT 1 6 2012 Approval Dau � =By ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO. DATE NO. NUMBER LOC . REP. ORDERED 90569922 2334083 10/12/12 90569575 xJ /7 -� mlZ / } 1054 0062 10/11/12 /1/( / ��L~' Route: 5291 / 10 " - ORDER NUMBER: 666513 8ill Ship Remit To: 1411 E. 116TH ST To: 1235 CENTRAL PARK DRIVE E To: BOX 660088 CARMEL IN CARMEL IAN 46032 46032 INDIANAPOLIS IN 317 843 3873 46266-0088 Att: DEPT # 00 800 428 2118 WipFrm.' 123Oi CUM8ERLAND RD FISHERS IN ShjpD.� 1O/12/12 Page 01 of 02 `rtTrms: SpciaJ `ytTrms. NET 30 DAYS Instr: Qty Qty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number D Unit Price Price DRY lv�,- CS 2404325 GLOVE, POLY LG TXTD AMBDX 10/100 EA MONOGRAM B CS 42. 1000 $ 42. 10 1 1,e CS 3256104 LID, CUP 12-24 Z BBL PLST 1000 CA WINCUP CS 16. 9200 1642 1 100 EA 4053336 CANDY, BAR MILK CHOC 36/1.55Z HERSHEY EA 26.8800 26. 88 i 110 CS 4371571 CAPPUCCINO, FRNCH VNL !NST 6/2 LB RITUAL'�'., CS 52,0000 52. 09 1 10V CS 5605472 CHIP, MULTGRN CHEDR SS BAG 64/1. 5 OZ SUN CHIPS CS 30. 8900 30. 89 1 10K CA 8053126 CANDY, RESES PNT BUTR CUP 36 CA REESE% EA 25. 9200 25. 92 1 1 CS 908?079 POPCORN, RAW KIT W/ OIL & SALT36/8 OZ FANCY FARM CS 24.2100 24.21 1 1�� CS 9954371 LID, CUP 32 Z STRAW SLTD PLST 10/50 EA MONOGRAM CS 21, 5500 21. 55 REFRIGERATED READY TO EAT - Please Refer to Return Polict READY TO EAT - Please Refer to Return PolicV FROZEN 2 2A CS 2011278 PRETZEL, KING SOFT DKD FZN 50/5 OZ SUPR PRTZL CS 32.5500 (1-15. 10 1 1-)( CS 3041423 CORN DOG, AM CN FZN 48/4 OZ STATE FAIR CS 33. 9100 33. 9-4 1 17 CS 4058707 MUFFIN, BANA NUT IW FZN 24/4 OZ SPUNRMEYER CS 24. 3300 24. 33 PRODUCT CLASS RECAP ** I .~..^ ~.. . ^^~°~ ~. .^. ^~ ~ . ^`"^~ ..^. . ^~ ~ ^ '~.~ ~.^' ' E~ ~ 240. 55 TOTAL REFRIGERATED PIECES ORDERED: 2 PIECES SHIPPED: 2 ITEMS SHIPPED: 2 47.50 TOTAL FROZEN PIECES ORDERED: 4 PIECES SHIPPED: 4 ITEMS SHIPPED: 3 123. 3.4 ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE. NO. NO. DATE NO. NUMBER LOC . REP ORDERED 90569922 2097446 10/05/12 90569575 ' 1054 0062' 10/04/12 Roote: 5291 / 10 ORDER NUMBER: 659182 8ill Sbip Remit To: 1411 E. i16TH ST To: 1235 CENTRAL PARK DRIVE To: 46032 46032 INDANAPOLIS IN 317 843 3873 46261-0088 Att: MICHELLE COMPTON DEPT 4 00 WpFrm. 12301 CUM8ERLA1ND RD � �— IN Ship& 10/05/12 Page 02 of 02 -rtTrms � ' ~ � ' Spcia2 ENTER OFF OF 111TH STREETW ` ' ytTrms� NET 30 DAYS Instr: Qtypty Sales Product Descripto ' Pack Size Label C Weight'- Pricing Unit Extended roe red Shipped uort Number D � ' Unit Price Price iNVOICE SUMMARY FUEL SURCHARGE 6. 25 TOTAL QGT SHIPPED: 299. 78 PIECES ORDERED: 20 PIECES SHIPPED: Q ITEMS SHIPPED: 16 PRODUCT TOTAL $ 512. 10 CHARGES 6. 25 GEN SALES TAX This amount is an estimate at time of shipping prior to any adjustments made at delivery: 518.35 ' ru"cha"" OCT 12 2A2 onmotion ' p{1w \ -- — G1.� ' -- |ACCOUNT INVOICE INVOICE CUSTOMER PURCHASE ORDER SALES SALES DATE NO. NO� DATE NO NUMBER LOC . EP ORDERED 90569922 2097446 10/05/12 9{�569575 uL /�^�� 1O5 � 0062� 10/04/12 �/1L'-- ~/ ^_, Rmute: 5291 / 10 ' - ORDER NUMBER: 659182 BilI Ship Remit PARKS&RECREAT US To: To: To� ' ~~~ ~' 660088 1317 843 3373 Att: -- - ---42S 21te ��ipFrm. 123O1 CUM8ERLAND R� FISHERS -IN Shipl7: 1D/05/12 Page of 02 'rt7rm s' Spcie2 ENTER OFF OF 111TH STREET ! ! } 'ytTrms. NET 30 DAYS Instm gty �ty Sales Product Descripton Pack Size Label C Weight Pricing Unit Extended rdered Shipped Unit Number D Unit Price Price .......... -_ ......._.......__-__......... _'___-'-__......_............. __-- DRY 1 1 CS 5429303 JUICE, ORNG 100% PET PLST HTL 24/10 OZ THIRSTER CS 20. 8600 20.86 1 CS 6260665 COOKIE, FUDGE STRPE MINI SS 60/2 OZ KEEDLE,,,' CS 26. 1600 26. 16- 1 CS 9089079 POPCORN, RAW KIT U/ OIL & SALT36/8 OZ FANCY FARM CS 24.2100 24.21. REFRIGERATED I CS 4200043 MILK, 21 REDUC FAT PLST REF 1211 PT PRAiRiE FM CS 11 , 0100 ii. 0i 1 CS 4800884 MILK, CHOC 1% LOW FAT PLST REF12/1 PT PRAIRTE FM CS 10. 9300 10. 93 I CS 5332242 LETTUCE, !CBRO SHRD 1/4" CLND 4/5 LB CROSS VALY B CS 17. 1100 17. 11 READY TO EAT - Please Refer to Return Palicv I CS 7197775 YOGURT, ASST STRUBNA A RSPBRY 12/6 OZ VOPLAIT CS 10. 3400 10. 34 1 . CS 9331380 APPLE, RED DLC 138 CT XFCY 130 EA CROSS VALY CS 45. 1300 45. 13 FROZEN 3 3- CS 2011278 PRETZEL, KING SOFT BKD FZN 50/5 Oz SUPR PRTZL CS 32. 5500 97. 65 1 1 CS 2372928 CHILI, W/ BEAN HEAT & SRV QN 4/5 LB WHITYUNDSR CS 55, 9700 53.97 i I CS 3041423 CORN DOG, AN CN FZN 48/4 Oz STATE FAIR CS 330100 33. 91. 1. CS 4636718 SOUP, CHIX NDL TFF RTU POUCH 4/8 LP CLSC TUREE CS 48. 6400 PRODUCT CLASS RECAP TOTAL DRY PIECES ORDERED: PIECES SHIPPED: 5 ITEMS SHIPPED: 5 115. 38 TOTAL REFRIGERATED PIECES ORDERED: 5 PIECES SHIPPED: 5 ITEMS SHIPPED: �5 ?4. 52 TOTAL FROZEN PIECES ORDERED: 8 PIECES SHIPPED: B ITEMS SHIPPED: 6 302. 20 � If ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL i An invoice of bill to be properly itemized must show; kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 353824 U S FoodService, Inc. Terms Box 660088 Indianapolis, IN 46266-0088 i i ! Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 10/5/12 2097446 Concessions r 29069 $ 518.35 10/12/12 2334083 Concessions 29076 $ 417.64 i 4 I i it Total $ 935.99 I hereby certify that the attached invoice(s),or bill(s)is(are)true and 'correct and I have audited same in accordance I ` with IC 5-11-10-1.6 i � 20— r Clerk-Treasurer i ' f ' Voucher No. Warrant No. ? � l 353824 U S FoodService, Inc. Allowed 20 Box 660088 " I i Indianapolis, IN 46266-0088; In Sum of$ $ 935.99 1 1 ON ACCOUNT OF APPROPRIATION FOR y 109 - Monon Center PO#or Board Members INVOICE NO. CCT#/TITL AMOUNT Dept# i 1095-1 2097446 4239040 $ 518.35 1 hereby certify that the attached invoice(s), or 1095-1 2334083 4239040 $ ( 417.64 bill(s) is(are)true and correct and that the i materials or services itemized thereon for which charge is made were ordered and received except fl 3 i 18-Oct 2012 I � R Signature $ 935.99 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund! i 3 1 {i I ' 3